Permit CITY OF TIGARD . MECHANICAL PERMIT
'� COMMUNITY DEVELOPMENT Permit #: MEC2012 -00060
TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2012
Parcel: 2S112BB05100
Jurisdiction: Tigard
Site address: 8365 SW FANNO CREEK DR
Project: WHITTAKER Subdivision: COLONY CREEK ESTATES NO.2 Lot: 34
Project Description: Gas furnace replacement.
Contractor: ABLE HEATING & COOLING Owner: WHITTAKER, JOHN RUSSELL
16285 SW 85TH AVE #105 8365 SW FANNO CREEK DR
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 579 -2250 PHONE:
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/31/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/31/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/31/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: I RO Permittee Signature: 7
Call 503.639.4175 by 7:00 a.m. for the next available in spection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati m r•, FOR OF• FICF.. USE ONLY
City Tigard Ti and I Received /
Date/By: / i i1/� .0
a 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 JAN 3 1 2012 Date /By. Other Permit:
TIGARD inspection Line: 503.639.4175 Date Ready/By: ® See age 2 for
Internet: www.tigard- or.gav Notified/method: Supplemental Information
CITY OF TIGARD
TYPE OF Z DiViSION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment labor, overhead, andfrofit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
21 1- and 2- family dwelling ❑ CommerciaL'industrial ❑ Accessory building Far special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
N JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 8365 SW FANNO CREEK DRIVE (requ site plan showingplacement) 46.75
City/State/ZIT': TIGARD,OR 97224 Furnace 100,000 BTU (ducts/vents) I 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: WHITAKER Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Ductwork 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) _ 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water beater 23.32
Gas fireplace 33.39
REPLACE EXISTING GAS FURNACE
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert , 23.32
® PROPERTY OWNER ❑ TENANT
Chimney/liner/flue/vent 23.32
Other: _ 23.32
Name: RUSSELL WHITAKER Environmental exhaust and ventilation:
Address: 8365 SW FANNO CREEK DRIVE Range hood/other kitchen
equipment 33.39
City /State/ZIP: TIGARD,OR 97224 Clothes dryer exhaust 33.39
Phone: (503)348 - 1158 Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crdwlspace fans 23,32
Other: : 23.32
Business name: Fuel piping:
Contact name: 514.15 for first four; 54.03 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State/ZIP: Wallisuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: ABLE HEATING & COOLING LLC
Clothes dryer (gas)
Other:
Address: 16285 SW 85' AVE. SUITE 105 MECHANICAL PERMIT FEES*
City /State/Z1P: TIGARD, OR. 97224 Subtotal 46,75
Phone: (503) 579 -2250 I Fax: (503) 620 -3980 Minimum permit fee ($90.00) 90.00
PIan review (25% of permit fee) _
CCB lit.: 184392 State surcharge (12% of permit fee) I0.80
TOTAL PERMI FEE 100.80
Authorized signature This permit application expires if a permit is not obtained within 180
F! � days after it has been accepted as complete.
Print name: KELLY TE Date: 1 - - • Fee methodolo , set Tti Com Building gv by ty g Service Board
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